Active NPI
Robert J Walsh, MD
- Ophthalmology Physician
- Rochester, NY
National Provider Identifier
1376636670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 147788
- Practice address
- 1777 English Road
Rochester, NY 14616 - Phone
- (585) 225-4730
- Fax
- (585) 225-0532
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 147788 | NY | Primary |
Addresses
Primary practice location
1777 English Road
Rochester, NY 14616
Mailing address
1777 English Road
Rochester, NY 14616
Phone (585) 225-4730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100955CR | Other | PREFERRED CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- State University of New York at Buffalo School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1777 English Rd
Rochester, NY 14616-1690
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147788 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Strong Eye Care | Ophthalmology | Current | Accepting new patients |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Past | Accepting new patients |
Locations
601 Elmwood Ave
#659
Rochester, NY 14642
Phone (585) 275-0378
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Ophthalmology Physician
- Rochester, NY
- NPI 1760413447
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1760557656
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376636670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 ENGLISH ROAD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14616",
"telephone_number": "585-225-4730",
"fax_number": "585-225-0532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 ENGLISH ROAD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14616",
"telephone_number": "585-225-4730",
"fax_number": "585-225-0532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "147788",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "100955CR",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.